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01-07-2013 | Original Article

Falls and functional impairments in cancer survivors with chemotherapy-induced peripheral neuropathy (CIPN): a University of Rochester CCOP study

Authors: J. S. Gewandter, L. Fan, A. Magnuson, K. Mustian, L. Peppone, C. Heckler, J. Hopkins, M. Tejani, G. R. Morrow, S. G. Mohile

Published in: Supportive Care in Cancer | Issue 7/2013

Abstract

Purpose

This study was conducted in order to characterize the prevalence of falls and functional impairments (FIs) and their association with chemotherapy-induced peripheral neuropathy (CIPN) in cancer survivors.

Methods

We analyzed baseline assessments from a phase III RCT in cancer survivors with self-reported CIPN scores of >4 out of 10. Patients completed the EORTC QLQ-CIPN-20 for neuropathy and reported falls in the previous 3 months. FIs were defined using the Activities of Daily Living subsection of the Vulnerable Elder’s Scale. Associations of baseline characteristics and CIPN with falls and FIs were examined using logistic regression.

Results

Of 421 patients, 11.9 % experienced recent falls and 26.6 % reported FIs. Motor neuropathy was the only factor associated with falls (OR = 1.127, p = 0.01). Factors associated with FIs included non-white race (OR = 0.335 white relative to non-white, 0.781, p = 0.01) and greater motor neuropathy scores (OR = 1.262, p < 0.0001).

Conclusion

CIPN, primarily motor, is associated with falls and FIs. Future prospective research should investigate the ability of motor neuropathy severity to predict falls.

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Title: Falls and functional impairments in cancer survivors with chemotherapy-induced peripheral neuropathy (CIPN): a University of Rochester CCOP study
Authors: J. S. Gewandter
L. Fan
A. Magnuson
K. Mustian
L. Peppone
C. Heckler
J. Hopkins
M. Tejani
G. R. Morrow
S. G. Mohile
Publication date: 01-07-2013
Publisher: Springer-Verlag
Published in: Supportive Care in Cancer / Issue 7/2013
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-013-1766-y

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Abstract

Purpose

Methods

Results

Conclusion

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